“All‐on‐Four” Immediate Function Concept and Clinical Report of Treatment of an Edentulous Mandible with a Fixed Complete Denture and Milled Titanium Framework

Abstract

The "All-on-Four" concept-tilting the distal implants in the edentulous arches improves the prosthetic support-increases the inter-implant distance and provides better implant anchorage in the bone by using longer implants. Computer milling of a solid block of titanium also provides frameworks with improved fit and fewer technical challenges than conventional cast or noncast approaches. This clinical report describes a method of restoring an edentulous mandible with the "All-on-Four" immediate function concept and a milled titanium framework. The patient in our clinical report has reported for follow-up visits for 1 year and is satisfied with the outcome of the treatment. No discernable clinical and radiographic changes were noted around the dental implants. To date, there have been no prosthetic complications. The patient is scheduled for quarterly follow-ups to determine the effectiveness of home care.